Active NPI
Ellen Barbara Lucas, PH.D.
- Counseling Psychologist
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20040571
- Practice address
- 707 W University Ave
Muncie, IN 47303-3865 - Phone
- (765) 254-9343
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20040571 | IN | Primary |
Addresses
Primary practice location
707 W University Ave
Muncie, IN 47303-3865
Mailing address
PO Box 444
Muncie, IN 47308-0444
Phone (765) 254-9343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20040572 | Other | IN | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4900 N Wheeling Ave
Suite 1
Muncie, IN 47304-7001
Phone (765) 254-9343
9002 Palmetto Dr
Apt 519
Isle of Palms, SC 29451-2871
Phone (765) 717-0806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040571 | IN | MD | Counseling Psychologist |
| 1812 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen Lucas PH.D. P.C. | Counseling | Current | Accepting new patients |
Locations
4900 N Wheeling Ave
Ste 1
Muncie, IN 47304
Phone (765) 254-9343
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326076084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473080444",
"telephone_number": "765-254-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033865",
"telephone_number": "765-254-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ELLEN",
"middle_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20040571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "20040572",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.